Temporomandibular Disorders: A Problem-Based Approach
Language: English
Pages: 224
ISBN: 140519958X
Format: PDF / Kindle (mobi) / ePub
A quick, systematic and logical approach to diagnosing and treating temporomandibular disorders (TMD), this latest book in the Dental Update series is an essential clinical companion for dental students and practising dentists. Starting with an overview of the basic principles of TMD, such as the anatomy of the temporomandibular joint and its physiology and pathology in relation to clinical treatment, the book goes on to present the realities of managing patients, using a case-based approach to help readers understand and engage with the information. Each later chapter presents a different problem in the form of a case study, and each study features a systematic approach to aid learning.
Temporomandibular Disorders: A Problem-Based Approach promotes learning as a dynamic process of active involvement. It encourages valuation by self-assessment with questions at the end of the book, and a unique link to an online interactive quiz where readers can test their knowledge of TMD. The final chapters include practical guides of how to make splints and samples of patient information sheets that can be used as templates. The book is illustrated in full colour, with helpful clinical images and diagrams.
KEY FEATURES
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Uses a case-based approach to promote effective management of TMD
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Covers basic scientific background as well as clinical scenarios
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Addresses not only ‘why’ but also ‘how’ with a highly practical focus
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Includes a unique link to an online interactive quiz (visit www.wiley.com/go/gray)
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Contains many full colour clinical images and diagrams
appeared healthy. On examination of her articulatory system, the right TMJ was tender on lateral and especially on intra-auricular palpation. Although she felt that her mouth opening was restricted, she had a normal range of movement. being able to open to 35 mm in the vertical dimension. This was, however, painful for her to do. There were no joint sounds. On examination of the mandibular muscles, the right temporalis and masseter muscles were tender on palpation in the origin of both muscles,
factors History of bruxism. Prevent and treat the sensitivity Methods of approaching this include: My Teeth Are Worn (a) (b) Figure 11.6 Study models taken for sequential comparison when monitoring tooth surface loss. 121 122 Temporomandibular Disorders: A Problem-based Approach Figure 11.7 The use of a silicone index for monitoring tooth surface loss. • • • • • Fluoride rinses and mouthwashes High-concentration fluoride toothpastes Low abrasion toothpaste Dentine bonding agents to
but also removes the interdigitation between the teeth, allowing the mandible to glide against the splint surface and thereby reduce the impulse to grind the teeth. It should be explained to the patient that this design of appliance has a success rate in the region of 80–85% but unfortunately it is impossible to predict the 10–15% or so in whom they do not work. Once fitted and correctly balanced, such an appliance can be kept long term and used on an ‘as-needed’ basis. I’ve Got a Headache 131
most of the TMJ mainly anterolaterally and small branches of the masseteric and deep temporal nerves supply the posterior aspect. Vascular supply to the TMJ Vascular supply to the TMJ is from the external carotid artery via the internal maxillary artery and the superficial temporal artery. Mandibular (jaw/masticatory) muscles i The jaw muscles form another component of the articulatory system. The muscles commonly symptomatic in temporomandibular disorders that are accessible for clinical
hyperplasia and neoplasms (benign and malignant). Condylar hyperplasia The undifferentiated germinative mesenchyme cell layer persists in the mandibular condyle throughout life. This is one of the primary growth centres of the jaw in adolescence. There are three presentations of condylar hyperplasia. The first is when, during the pubertal growth spurt, one growth centre is more active than the other and this results in a facial and occlusal irregularity where the asymmetry is vertical; the